| NPI | 1679990394 |
|---|---|
| Former Name | JADE KATHLEEN JOHNSTONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 53490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 53490) |
| 163W00000X Registered Nurse (Licence: MT RN-44958) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 53490) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2020-10-07 |